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  • Title: Modified Transverse Thoracosternotomy and Cost-Effective Reinforced Sternal Closure.
    Author: Costa J, Sonett JR, D'Ovidio F.
    Journal: Ann Thorac Surg; 2015 Dec; 100(6):2376-8. PubMed ID: 26652544.
    Abstract:
    The bilateral transverse thoracosternotomy clamshell incision provides excellent exposure to the mediastinal structures in double lung transplantation. The use of a modified transverse sternotomy and a figure of 8 configuration with one monofilament metal wire, along with two longitudinal wires across the sternal division, results in greater stability and equally distributed oblique tension. Our described technique was more cost effective and resulted in no incidence of dehiscence. We present our experience using a modified transverse sternotomy and reinforced sternal closure method.
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